N ebraska State Court Form DC 6:15() NEW ANSWER AND COUNTERCLAIM TO COMPLAINT FOR MODIFICATION (Child Support ) Page 1 of Answer and Counterclaim to Complaint for Modification DC 6:15(7) NEW 04/19 IN THE DISTRICT COURT OF COUNTY, NEBRASKA (county where the original action was filed) , (name of plaintiff in original action) Plaintiff, vs. , (name of defendant in original action) Defendant. Case No. CI (case number in original action) ANSWER AND COUNTERCLAIM TO COMPLAINT FOR MODIFICATION (Child Support) ANSWER COMES NOW, , the plaintiff (your full name) defendant in the above-captioned matter, and for the Answer to the other party222s Complaint for Modification, hereby admits, denies, and alleges as follows: 1.Admits Paragraph(s) of (paragraph number(s) with which you agree)the Complaint for Modification. 2.Denies Paragraph(s) of(paragraph number(s) with which you disagree)the Complaint for Modification. COUNTERCLAIM I , the plaintiff defendant in (your full name) the above entitled action, without assistance of an attorney, hereby state and allege as follows: American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of Answer and Counterclaim to Complaint for Modification DC 6:15(7) NEW 04/19 1.On the court ordered (date of the most recent order setting child support) (name of payor)to pay child support for the below listed child(ren): , born (name of child) (child222s year of birth) , born (name of child) (child222s year of birth) , born (name of child) (child222s year of birth) , born (name of child) (child222s year of birth) Additional children are listed on a separate page. Pursuant to the Nebraska Child Support Guidelines, child support payments were to begin on the 1st day of , and continue (month and year the most recent order setting child support became effective) on the first day of each subsequent month thereafter in the amounts set forth: per month for children (support amount) (number of children) per month for children (support amount) (number of children) per month for children (support amount) (number of children) per month for one child (support amount) 2.There has been a material change in circumstances since the date the Order was is eligible for a Modification of the Child Support Order(name of payee)within the meaning of the Nebraska Child Support Guidelines and Nebraska Statutes.Application of the Nebraska Child Support Guidelines to the party(ies) current incomewould increase decrease the monthly child support obligation by 10% ormore, and by not less than $25 per month. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of Answer and Counterclaim to Complaint for Modification DC 6:15(7) NEW 04/19 5.The material change in the party(ies) circumstances since the date of themost recent order setting child support is as follows: Check All That Apply 222s employment income has substantially increased. (name of party) 222s employment income has substantially decreased. (name of party) 6.The change in the party(ies) financial circumstances has lasted for three months andcan reasonably be expected to last for an additional six months. WHEREFORE, I ask that this court modify the childsupport obligation entered on , and increase decrease the monthly child (date of the most recent order setting child support) support obligation to an amount consistent with the Nebraska Child Support Guidelines, and for such other relief as the court deems appropriate. Date Signature Name (Your Name) Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address CERTIFICATE OF SERVICE I hereby certify that on (date) foregoing Answer and Counterclaim for was sent by first-class mail, postage prepaid, to at . (spouse222s address, including street address, city, state, and ZIP code) (your name) American LegalNet, Inc. www.FormsWorkFlow.com